Individual provider Active NPI

Samantha Amelia Montejo Quinal, PT

  • Physical Therapist
  • West Hollywood, CA
National Provider Identifier
1013306760
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
29102 Issued in CA
Practice address
1000 N San Vicente Blvd Apt 2
West Hollywood, CA 90069-3872
Phone
(213) 550-6969
NPI assigned
Jan 20, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 29102 CA Primary

Addresses

Primary practice location

1000 N San Vicente Blvd Apt 2
West Hollywood, CA 90069-3872

Mailing address

1000 N San Vicente Blvd Apt 2
West Hollywood, CA 90069-3872
Phone (213) 550-6969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220714003378 CA Practitioner - Physical Therapist in Private Practice 0143601658 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Life Physical Therapy Services PCGroup PAC ID 7214207125, 94 clinicians

Practice addresses (Care Compare)

201 N Crescent Dr
Beverly Hills, CA 90210-4898
Phone (424) 313-5988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Lining Therapy LLC Physical Therapist CurrentSince Aug 1, 2025 Accepting new patients
California Luna Care Physical Therapy PC Physical Therapist CurrentSince Jul 1, 2022 Accepting new patients

Locations

16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 459-8108

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1013306760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N SAN VICENTE BLVD APT 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693872",
            "telephone_number": "213-550-6969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N SAN VICENTE BLVD APT 2",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693872",
            "telephone_number": "213-550-6969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINAL",
        "first_name": "SAMANTHA",
        "middle_name": "AMELIA MONTEJO",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-20",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "29102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.